IACUC GUIDELINES FOR THE USE OF FRUEND'S COMPLETE ADJUVANT IN RODENTS AND RABBITS The purpose of performing immunization protocols is to generate and study immune responses. Pain and distress to the animal must be addressed as many of the standard practices used in immunological research have the potential to produce pain and distress if they are not done correctly. The following guidelines, approved by the School of Medicine Animal Care and Use Committee, are intended to inform investigators of humane methods for conducting these protocols. Freund's complete adjuvant (FCA) is a water in oil emulsion containing killed, dried Mycobacterium butyricum which is used to enhance antigenicity and stimulate an immune response greater than antigen alone both in duration and magnitude. The disadvantage to this agent is that the adjuvant can induce aggressive and persistent granulomatous lesions when used intradermally or subcutaneously. Intramuscular injection may cause permanent lameness. Intravenous injection may damage the lungs. Intraperitoneal injection, used in mice and rats, causes granulomatous peritonitis, but may not necessarily cause chronic distress. Because of the detrimental effects, the investigator should consider other available adjuvants. Since the USDA has declared that the use of FCA may cause more than momentary pain and distress, alternatives must be considered. A description of the methods and sources used to search for alternatives to painful procedures must be provided in the animal use protocol. This should include: databases searched or other sources consulted, date of the search and years covered by the search, key words used to help determine that no alternatives were available to the painful or distressful procedure (i.e. the use of FCA). FCA is a hazardous substance. Special care must be taken to avoid parenteral exposure of personnel involved in the preparation and administration of FCA. Accidental intradermal or intramuscular inoculation may result in tuberculin sensitization of tuberculin negative individuals, and moderate to severe local, regional, or systemic hypersensitivity reactions in individuals who are sensitized to tuberculin. Inadvertent ocular exposure can lead to blindness. In preparing FCA, the mycobacteria should first be resuspended by vortexing or shaking. One part or less of Freund's adjuvant to one part antigen (v/v) is recommended. Two sterile luer-lock syringes, one with Freund's and one with the antigen preferably in sterile saline are used. Glass syringes are preferred as the oil will react with the rubber plunger on plastic disposable syringes. Millipore filtration of the antigen before mixing with adjuvant is recommended. As a general suggestion, FCA should be used for weakly immunogenic compounds or for small amounts of immunogen. Several other synthetic, non-inflammatory adjuvants are available which may offer advantages in some situations: RAS (Ribi Adjuvant System, Ribi Immunochemical Research. Inc; P.O. Box 1409, Hamilton, Montana 59840). Hunter's TiterMax or TiterMax Gold (without silica) (CytRx, 154 Technology Parkway, N.W., Norcross, GA 30092) Quil A, a saponin-type, surface-active adjuvant (Accurate Chemical Scientific Corporation, Westbury, NY 11590) IMMUNIZATION TECHNIQUES FCA should be used only once, for the initial immunization in all species The approved animal protocol form must include the site of injection, the amount of material administered per site, the number of sites and hence the total volume injected, the adjuvant system used, and the frequency and total number of booster injections. When giving subcutaneous injections the use of multiple sites containing small volumes is more beneficial from both humane and scientific perspectives as this technique distributes the immunogen/adjuvant over a larger surface area for the immune system to process resulting in higher titers and also reducing the incidence of severe local inflammatory lesions and abscessation. Injection sites must be sufficiently separated to prohibit coalescing of the inflammatory lesions. Intraperitoneal injection, which is permissible in small rodents, should only be given as a single immunization. The volume of the peritoneal cavity limits the total volume administered. Intramuscular injections in the rabbit are discouraged as the inflammatory response can cause permanent lameness and nerve damage. Intradermal and footpad injections are generally not allowed unless scientifically justified by the investigator and approved by the IACUC. Intradermal injections have a greater capacity to cause local inflammatory reactions and abscessation. Footpad injection (intradermal in theory, in practice this route is probably a mixture of intradermal and subcutaneous, and perhaps even intravenous in unskilled hands) is discouraged due to the sensitivity of the site especially when inflammation is present. The forepaw footpads should not be used in mice and rats as they use the forepaws for food handling. Rabbits should not be injected in the footpad, as they do not have true footpads. The minimum time period between the initial and booster immunizations is usually 2-3 weeks. Booster injections should be delayed if significant inflammatory reactions are still present from previous injections. If adjuvant-antigen mixtures have caused excessive reactions, you should use lesser concentrations, smaller volumes per injection site, or both for all subsequent immunizations. Veterinary consultation may be indicated. When an animal is given a booster dose too soon, the immune response may be suppressed rather than enhanced. Ideally, one should follow the serum antibody titer in an immunized animal and give a booster injection of antigen only after the antibody titer has plateaued or begun to decline. Patience should be practiced when selecting the time interval between the primary immunization and the booster immunization. Animals can be rested for long intervals between boosting. Even when serum antibody titers have dropped to relatively low levels, a booster injection into an animal that had previously established a memory response will usually reestablish a high serum antibody titer. ANIMALS SUCH AS RABBITS AND GUINEA PIGS SHOULD BE PROVIDED WITH MILD SEDATION AND ANALGESIA WHEN MULTIPLE INJECTIONS ARE DONE. The administration of a 1:1 mixture of acepromazine (10mg/ml) and torbugesic (10mg/ml) at a dosage of 0.15ml/kg (not to exceed 0.75ml) given subcutaneously or intramuscularly has been effective for rabbits. Isoflurane anesthesia by mask is a safe method for providing restraint in guinea pigs, and buprenorphine(.05mg/kg) SC can be given for pain. SITE PREPARATION Anatomic sites used for grasping, handling, or restraint should be avoided. This would include the neck area in rabbits and rodents, and the tail base in rodents. Hair should be clipped from intradermal and subcutaneous sites, and the sites should be aseptically prepared with betadine or nolvasan scrub followed by alcohol. Sterile needles and syringes should also be used. subcutaneous intramuscular intraperitoneal footpad intravenous intradermal Rabbit .1-.25ml per site; 1-1.2ml total volume; on the back Not allowed Not allowed Not allowed Must be justified and approved. .05 ml per site, use a 25 to 27 gauge needle, on the back, no more than 10 sites; used for cell mediated immunity Guinea pig Total volume up to .4ml, divided in 2 sites in the dorsal neck area Mouse=less than .25ml Rat=less than .5ml Must be justified and approved, 1 hind foot per animal, house on soft bedding Mouse=.01.05ml Rat=less than .1ml Not recommended and generally not allowed Must be justified and approved; .01-.05ml per site Must be justified and approved; inject in bieceps femoris, quadriceps or lumbar muscle; no more than .25ml; one leg only Rodents Mouse=.05ml Not per site; 2-4 recommended sites and generally not allowed Rat=up to .1 ml per site; 2-4 sites APPROXIMATE TOTAL BLOOD VOLUMES Rabbit 56ml/kg Mouse 78ml/kg Rat 67ml/kg Hamster 87ml/kg Guinea Pig 75ml/kg Dog 86ml/kg Monkey 77ml/kg Swine 75ml/kg As a single blood draw less than or equal to 10 per cent of the TOTAL blood volume can be removed. A 14-day recovery period is needed for the average animal to recover from this blood loss. (example: 4.5kg rabbit; total blood volume= (4.5kg) X (56ml/kg)= 252 ml total blood volume. (0.1) X (252)=25.2ml maximum blood draw. The use of intracardiac puncture is restricted to non-survival procedures. Anesthesia is required for intracardiac puncture, orbital sinus puncture, and all terminal exanguination procedures. Guidelines for safe blood withdrawals are based on the animal's total blood volume, body weight, and health status. These guidelines are for normal, healthy animals. As reported in the OPRR Reports 11/17/97, "there is evidence that the mouse ascites method of monoclonal antibody production causes discomfort, distress, or pain. Practical in vitro methods exist which can replace the ascites method in many experimental applications without compromising the aims of the study." An IACUC approved animal protocol that includes mouse antibody production must scientifically justify its use, alternative or in vitro methods must have been considered, and alternative or in vitro methods must have been determined unsuitable. MOUSE ASCITES PRODUCTION 1. Use healthy, viral antibody free animals for ascites production. Cell lines should be MAP (Mouse Antibody Production) tested for pathogens before being injected into any animal. 2. Retired breeders may be superior to young animals since the abdominal distension is better tolerated and greater volumes may be obtained. 3. Pristane is commonly used to prime the abdomen prior to implantation with a hybridoma. Pristane is toxic at doses only slightly higher than the amount recommended for ascites production. 0.5 ml is the historical dose, but there is good evidence that doses as low as 0.1-0.2 ml give similar results. Mice should be observed daily for signs of distress, and the protocol must be modified accordingly. 4. Incomplete Freund's Adjuvant (dose is 0.5 ml) has also been used as a priming agent for ascites production. Adverse side effects are usually less than with Pristane. With IFA, tumor cell lines can be implanted as soon as 24 hours post administration. 5. The rate of ascites fluid production is extremely variable, but generally begins 1 week following injection. Animals must be observed daily and have abdominal fluid removed at regular intervals to prevent excessive accumulation. The ascites fluid should be collected when the abdomen is approximately the proportion of a near-term pregnant animal. Ascites collection should be made using a sterile 21-gauge needle (or smaller) preferably on an anesthetized animal. The skin surface should be disinfected with 70% alcohol. 2-3 ml of warmed saline can be given subcutaneously to the mouse at the time of paracentesis. 6. Animals in distress (cachexic, not eating, increased respiratory rate, lethargy, rough hair coat, hunched posture, hypothermic, dehydrated, etc.) should be euthanized. 7. Determining an appropriate time for euthanasia of the ascites mouse is critical. General guidelines recommend 2 survival taps followed by a third non-survival tap. Approved by the IU School of Medicine IACUC June 13, 2001 REFERENCES: ILAR JOURNAL, VOLUME 37 (3)- 1995 State University of New York; Upstate Medical University- Guidelines for the Production of Polyclonal and Monoclonal Antibodies in Rodents and Rabbits Cornell University- Guidelines for Production of Polyclonal Antibodies in Rodents and Rabbits University of Florida Animal Care and Use- Guidelines for Using Freund's Adjuvant in Rabbits Mercer University-Guidelines on Immunological Procedures; Adjuvants NIH-Guidelines for the Use of Freund's Adjuvant in Laboratory Animals University of Minnesota Division of Comparative Medicine The Care and Feeding of an IACUC, p. 185-186 University of Connecticut, IACUC guidelines OPPR Reports-November 17, 1997